MICHAEL CLIFFORD CARLISLE (NPI# 1063581395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063581395 |
| Entity Type | Individual |
| Full Name | MICHAEL CLIFFORD CARLISLE |
| Credential | DO |
| Practice Address |
13207 Ravenna Rd Senior Assessment Program Chardon OH 44024-7032 |
| Mailing Address |
24701 Euclid Ave Third Floor Billing Services Euclid OH 44117-1714 |
| Practice Telephone | 2168442400 |
| Practice Fax Number | 4402856247 |
| Mailing Telephone | 2168442400 |
| Mailing Fax Number | 4402856247 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34008772 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2854817 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194050682 | Michael Joseph Carlisle | Dentist | 10801 Blondo Street, Suite D, Omaha, NE 68164-3800 | 2009-10-16 |
| 1497864243 | Michael B. Carlisle | Dentist | 2924 Jackson Ave, Point Pleasant, WV 25550-1716 | 2006-08-29 |
| 1164865838 | Michael A Carlisle | Pediatrics | 3333 Burnet Ave, Mlc 5018, Cincinnati, OH 45229-3026 | 2013-04-12 |
| 1699024406 | Michael Andrew Carlisle | Registered Nurse | 410 W 10th Ave, Columbus, OH 43210-1240 | 2012-09-07 |
| 1225217250 | Michael J Carlisle | Chiropractor | 5306 South Boulevard, Charlotte, NC 28217-4116 | 2007-10-26 |
| 1629278924 | Michael Alton Carlisle | Specialist | 7247 S Pine St Ste A, Tacoma, WA 98409-5900 | 2007-07-24 |
| 1295950376 | Michael Paul Carlisle | Specialist | 411 Laurel Street, Suite 2225, Des Moines, IA 50314-3026 | 2007-04-16 |
| Street Address |
13207 RAVENNA RD SENIOR ASSESSMENT PROGRAM |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608394 | Rachael Maxine Lerman | Pharmacist | 13207 Ravenna Rd, Pharmacy Services, Chardon, OH 44024-7032 | 2005-06-13 |
| 1427656420 | Sarah Nicole Blair | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-10-12 |
| 1699386565 | Taylor Baum | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-13 |
| 1578173225 | Jessica Uhl | Pharmacy | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-07 |
| 1568008159 | Sarah Knowles | Clinical Nurse Specialist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-19 |
| 1457996043 | Laurie Catherine Bruening | Nurse Practitioner | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-07 |
| 1881247898 | Nicole Guist | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-07-18 |
| 1295395648 | Krzysztof Ozga | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-06-18 |
| 1346704285 | Chad William Crouch | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-01-24 |
| 1295207769 | Joshua Mark Fegan | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992838908 | Michael J Primc | Psychiatry & Neurology | 9950 Campton Ridge Dr, Chardon, OH 44024-8668 | 2007-03-13 |
| 1881978781 | Marina Francis Damis | Psychiatry & Neurology | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2011-10-11 |
| 1255499984 | Gary Thomas Pagano | Psychiatry & Neurology | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2006-12-05 |
| 1902973548 | Vlasta Vyroubal | Psychiatry & Neurology | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2006-11-29 |
| 1033105218 | Martin Macklin | Psychiatry & Neurology | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493251 | Holly Mycroft | Psychiatry & Neurology | 5603 Congressional Pl Apt F, Hilliard, OH 43026-4308 | 2020-09-29 |
| 1770108698 | Christine Yammarino | Psychiatry & Neurology | 24700 Lorain Rd Ste 303, North Olmsted, OH 44070-2069 | 2020-06-16 |
| 1669003281 | James Roger Nicholas | Psychiatry & Neurology | 11170 Maple Knoll Ter Unit L215, Cincinnati, OH 45246-4154 | 2020-02-02 |
| 1407406697 | New Life Ketamine Clinic LLC | Psychiatry & Neurology | 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459-3856 | 2019-09-19 |
| 1164081063 | Reynolds Behavioral Health LLC | Psychiatry & Neurology | 1649 N Reynolds Rd, Toledo, OH 43615-3625 | 2019-06-13 |
| 1326509217 | Marian Louise Brown | Psychiatry & Neurology | 14877 Stonehaven Dr, Perrysburg, OH 43551-9537 | 2019-03-25 |
| 1912470303 | Alleviant of Akron | Psychiatry & Neurology | 1000 S Cleveland Massillon Rd Ste 1, Akron, OH 44333-9204 | 2019-01-08 |
| 1710456025 | Wissam Hoteit Md LLC | Psychiatry & Neurology | 4841 Yosemite Pkwy, Sylvania, OH 43560-4341 | 2018-11-15 |
| 1215435367 | Psychiatric Services of Toledo, Inc | Psychiatry & Neurology | 2204 N Reynolds Rd, Toledo, OH 43615-2814 | 2018-01-23 |
| 1720508146 | Keystone Psychiatry, Inc. | Psychiatry & Neurology | 5920-e Wilcox Pl, Dublin, OH 43016-6802 | 2017-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.